NR 224 Week 5 Core Assignment; Nursing Skill; Urinary Elimination

Nursing skills - Indwelling urinary catheters The following assessment findings require priority follow-up prior to the skill being performed: Betadine allergy – Clients with a betadine allergy will need an alternate cleansing solution for indwelling urinary catheter insertion. Latex allergy – Clients with a latex allergy need latex-free catheter supplies. While many institutions are latex-free, the nurse must verify and ensure no latex supplies are used on this client. Need for perineal cleansing – If the client has a need for perineal cleansing, this should be done before inserting the indwelling urinary catheter to reduce the incidence of infection. Fecal incontinence can increase the risk of catheter-associated urinary tract infection (CAUTI). Indwelling urinary catheter insertions should be performed in the following order: Identify client with two identifiers – This should be completed prior to any procedure for client safety and to comply with The Joint Commission standards. Perform hand hygiene – Hand hygiene is always completed before any procedure and decreases chances for catheter-associated urinary tract infections (CAUTI). Raise bed to level of hips – Body mechanics are important. This also keeps sterile field integrity as nothing will fall into the field from leaning over it. Position client – The client should be positioned for privacy and for the procedure being performed. Open sterile catheterization ki